Free-listing Interviews Research Articles

A qualitative study of cultural concepts of distress among Rohingya refugees in Cox’s Bazar, Bangladesh

BackgroundRohingya refugees residing in Bangladesh have been exposed to profound trauma in addition to ongoing daily stressors of living in the refugee camps. Accurate assessments of mental health burden and their impact among this population require culturally sensitive tools that remain lacking in this context. The purpose of this study was to characterize salient cultural concepts of distress (CCDs), their causes, consequences, and approaches to treatment, among Rohingya refugees living in Cox’s Bazar, Bangladesh, to help inform future measurement and intervention design.MethodsBetween December 2020 and March 2022, 106 free-listing interviews and 10 key informant interviews were conducted with community members to identify and better understand common CCDs. Rohingya research staff analyzed the interview transcripts by tabulating the frequency of unique CCDs in the free-listing interviews and the unique attributed causes, signs, consequences, and treatment strategies for each CCD in the key informant interviews.ResultsIn total, five CCDs were identified: tenshon (tension), bishi sinta (excessive thinking), feshar (pressure), gum zai nofara (unable to sleep), and shoit-shoit lagon (feeling restless and/or trapped). Although the five CCDs had overlapping symptoms, they also had unique presentation, consequences, and preferred strategies for treatment that may impact service-seeking behavior. Three out of the five CCDs were considered life-threatening, if severe and left untreated.ConclusionThe five CCDs identified are culturally salient ways of experiencing and communicating distress within this community but are not adequately captured in existing mental health assessments for this population. This may negatively impact programmatic efforts among the group.

Perceptions of Smoking Stigma Among African Americans: A Qualitative Study.

African Americans/Blacks (AAB) are at increased risk for morbidity and mortality from smoking-related diseases including lung cancer (LC). Smoking stigma is believed to be a primary barrier to health care-seeking for people who smoke. Previous studies illustrate that perceptions of smoking vary across populations. However, little is known about the prevalence of smoking stigmas among AAB. The purpose of this study was to increase understanding of the perception of cigarette smoking by AAB. We conducted free-listing interviews in which individuals listed all-thoughts and feelings regarding smoking and health-related questions with a convenience sample of eligible AAB adults (n = 58) in the Philadelphia region. Additionally, we collected participant self-reported demographic data. Data were cleaned and the salience of each term was computed using Anthropac. Graphical methods were then used to determine salient responses across groups stratified by gender, age, education, and smoking status. The sample had a median age of 51 years and was 67.2% female. Most participants had completed college (58.6%) and had never smoked (74.1%). Regarding their perceptions of people who smoke cigarettes, results showed that "smelly," "health hazard," and "judgment" were the most salient terms among all-participants. Overall, "smelly" and "unhealthy" were salient for both males and females. However, "dental," "dirty," "addictive," and "habit" were also salient among males. Phrases such as "unhealthy" and "addictive" were primarily salient for older participants (>51 years) versus "smelly" for younger participants. The term "smelly" was salient among all-education levels. However, "unhealthy" was also salient among those with less than a 4-year college degree. Moreover, the terms "smelly" and "annoying" were most common among people who smoke as opposed to "health hazard" among people who don't smoke. We observed that the most stigmatizing language was primarily associated with perceptions of negative social interactions, social judgment, and health-related concerns. Future studies are needed to explore how smoking-related stigmas impact patient adherence to smoking cessation programs and LC screening protocols. Little is known about the prevalence of smoking stigmas among AAB. This study explores the AAB perspective of cigarette smoking and related stigmas. Among AAB, smoking is represented by stigmatizing language across gender, age groups, and smoking history. It is primarily associated with negative social interactions, social judgement, and health-related concerns indicating that smoking stigma is a concern for AAB individuals who smoke. Further research is warranted.

A qualitative study of mental health problems among children living in New Delhi slums.

Children living in urban slums in India are exposed to chronic stressors that increase their risk of developing mental disorders, but they remain a neglected group. Effective mental health interventions are needed; however, it is necessary to understand how mental health symptoms and needs are perceived and prioritized locally to tailor interventions for this population. We used an existing rapid ethnographic assessment approach to identify mental health problems from the perspective of children living in Indian slums, including local descriptions, perceived causes, impact, and coping behavior. Local Hindi-speaking interviewers conducted 77 free-list interviews and 33 key informant interviews with children and adults (N = 107) from two slums in New Delhi. Results identified a range of internalizing and externalizing symptoms consistent with depression, anxiety, and conduct problems in children. Findings included both common cross-cultural experiences and symptoms as well as uniquely described symptoms (e.g., "madness or anger," "pain in the heart and mind") not typically included on western standardized measures of psychopathology. Mental health problems appeared to be highly interconnected, with experiences such as harassment and fighting often described as both causes and impacts of mental health symptoms in children. Community perspectives indicated that even in the face of several unmet basic needs, mental health problems were important to the community and counseling interventions were likely to be acceptable. We discuss implications for adapting mental health interventions and assessing their effectiveness to reduce the burden of mental illness among children living in urban slums in India.

Addressing challenges faced by young refugees in the Netherlands: Adapting problem management plus (PM+) with an emotional processing module.

Young refugees face numerous challenges before, during, and after their journey, leading to higher rates of mental health issues such as depression, anxiety, and posttraumatic stress disorder. These problems often remain untreated due to barriers like limited services, stigma, and varied distress expressions. One effective scalable intervention that bridges this treatment gap is problem management plus (PM+), a transdiagnostic program delivered by trained nonspecialists. However, PM+ lacks a module directly targeting posttraumatic stress, which is a common problem in young refugees. This study presents the cultural and contextual adaptation process of PM+ for young refugees in the Netherlands that includes a newly developed emotional processing module. Qualitative data collection included free list interviews with youngsters (n = 33), key informant interviews with professionals (n = 9), policymakers (n = 5), key people from communities (n = 10), focus group discussions (n = 11) and one focused interview. A new module targeting distressing memories was developed and reviewed by experts (n = 14). Results supported protocol adaptations, including culturally and age-appropriate language, examples, illustrations and length. This research aims to develop feasible, culturally sensitive mental health interventions tailored to the unique needs of young refugees.

Perceptions of mental health and psychosocial problems among conflict-affected adults in North Bougainville: Results of a rapid qualitative assessment

The Bougainville Crisis (1988–1997) was characterized by widespread human rights violations, civilian deaths, and displacement. In March 2017, a rapid qualitative assessment was conducted to better understand the major mental health and psychosocial (MHPS) problems of conflict-affected adults living in North Bougainville in order to contribute to the design of feasible interventions to address these problems and inform the development of culturally appropriate assessment instruments. We conducted 54 free-list interviews to gather information on the problems of people in local communities, and further explored five priority MHPS problems through 38 key-informant interviews. The major MHPS problems that emerged and were subsequently explored included alcohol use, drug use, arguments and fights, physical violence against women, and rape. Frequently reported indicators of these problems included anger, aggression, sadness, shame, worry, trauma, neglect, and fear. Findings highlight the highly interconnected relationship between substance use and violence in North Bougainville, as well as the set of emotional and behavioral problems that both contribute to and result from this relationship. The primacy of both drug and alcohol use in this setting is particularly notable, as is the role of these substances as individual coping mechanisms and instigators of violence. Overall, findings suggest the need for integrated strategies toward addressing MHPS issues in North Bougainville, with violence and substance use incorporated as both causes and consequences of psychological distress.

Mental health during wildfires in Southcentral Alaska: An assessment of community-derived mental health categories, interventions, and implementation considerations

Previous studies have linked wildfires to a range of adverse mental health outcomes, but there has been limited research on the mental health impacts of wildfire in Alaska, an area undergoing rapid environmental change. We used a multi-level qualitative approach to identify mental health and psychosocial problems, coping, existing support, and gaps in support among communities who were affected by the Swan Lake and McKinley fires in Alaska in 2019. We recruited 39 community members from Anchorage and the Kenai Peninsula to participate in free list interviews, a community ranking workshop, and in-depth interviews, and we recruited 12 professional key informants including wildland firefighters, mental health providers, community advocates, policy makers, and public health professionals to participate in in-depth interviews and a discussion-based workshop. There were several locally-defined categories of mental health issues identified in relation to wildfires in southcentral Alaska in 2019. Key informants who work in the region identified a package of communications-related interventions as being the most impactful and actionable support for wildfire-related mental health concerns. Additional highly rated mental health supports centered around leadership acknowledging the connection between wildfire and mental health, connecting community members to formal or informal systems of mental health care, enhancing the emergency shelter system, and providing crises debriefing during wildfire evacuations. The results of this study can be utilized to facilitate implementation of prevention and response activities to support mental health resilience during wildfires in Alaska and other wildfire-affected regions.

Barriers to accessing malaria treatment amongst school-age children in rural Malawi

BackgroundOver the last two decades, many countries have moved from malaria control toward malaria elimination. However, some sub-Saharan African countries, like Malawi, have recently seen a reversal in malaria control progress with reported increases in confirmed malaria cases. This may be the result of inadequate access to effective malaria control interventions by key population groups that perpetuate transmission. This study aimed to assess the barriers to accessing malaria treatment among school-aged children (SAC) in Malawi.MethodsA qualitative study was conducted between September and October 2020, where data were gathered in rural Malawi using free-listing interviews, key-informant interviews, semi-structured interviews and focus group discussions. Purposively sampled participants included SAC, parents of SAC, health workers and key stakeholders at community and district levels. Interviews were digitally recorded and transcribed verbatim. Data were organized using NVivo 12 software and analysed using the thematic method.ResultsThe study recruited 252 participants, with 156 being SAC, equally divided between boys and girls. Health system barriers to malaria treatment included long waiting hours and queues at clinics, frequent stock-outs of medical supplies, and travel time to the facility. Provider barriers included negative attitude and limited service hours. Individual and cultural barriers included fear of malaria tests and beliefs associating witchcraft as the best treatment for malaria. In addition, COVID-19-related barriers included the inability to follow preventive measures, a shift in focus from malaria to COVID-19, and fear of contracting COVID-19 and/or being tested for COVID-19 at the facility.ConclusionsThis study shows most of the barriers to accessing malaria treatment among SAC are similar to those experienced by other population groups. Furthermore, COVID-19 adversely affected SAC’s access to treatment. Interventions that support SAC access to prompt diagnosis and treatment are urgently needed to improve the effective control of malaria.

Views and experiences of migrants and stakeholders involved in social and health care for migrants in Italy during the COVID-19 pandemic: a qualitative study

BackgroundThe COVID-19 pandemic has had major and potentially long-lasting effects on mental health and wellbeing across populations worldwide. However, these impacts were not felt equally, leading to an exacerbation of health inequalities, especially affecting vulnerable populations such as migrants, refugees and asylum seekers. Aiming to inform the adaptation and implementation of psychological intervention programmes, the present study investigated priority mental health needs in this population group.MethodsParticipants were adult asylum seekers, refugees and migrants (ARMs) and stakeholders with experience in the field of migration living in Verona, Italy, and fluent in Italian and English. A two-stage process was carried out to examine their needs using qualitative methods including free listing interviews and focus group discussions, according to Module One of the DIME (Design, Implementation, Monitoring, and Evaluation) manual. Data were analyzed using an inductive thematic analyses approach.ResultsA total of 19 participants (12 stakeholders, 7 ARMs) completed the free listing interviews and 20 participants (12 stakeholders and 8 ARMs) attended focus group discussions. Salient problems and functions that emerged during free listing interviews were discussed during the focus group discussions. During the COVID-19 pandemic, ARMs struggled with many everyday living difficulties in their resettlement country due to social and economic issues, revealing a strong influence of contextual factors in determining mental health. Both ARMs and stakeholders highlighted a mismatch between needs, expectations and interventions as factors that may hamper proper implementation of health and social programmes.ConclusionsThe present findings could help in the adaptation and implementation of psychological interventions targeting the needs of asylum seekers, refugees and migrants aiming to find a match between needs, expectations, and the corresponding interventions.Trial registrationRegistration number 2021-UNVRCLE-0106707, February 11 2021.

Local forest specialists maintain traditional ecological knowledge in the face of environmental threats to Brazilian Amazonian protected areas

There is a concern that environmental threats that result in local biodiversity loss compromise traditional peoples’ livelihoods and their traditional ecological knowledge (TEK). Nonetheless, studies usually only analyze how people’s characteristics influence TEK. Here, we investigated both: how the personal characteristics of local specialists (forest experience, gender, and origin) and environmental threats (deforestation, mining, and fires) influence some components of TEK associated with forests. From 2015 to 2019, we conducted free-listing interviews with 208 specialists from 27 communities in and near 10 protected areas (PAs) in Brazilian Amazonia. We recorded forest trees and palms that the specialists mentioned as used, managed, and traded. Plant knowledge was variable, since 44% of the 795 ethnospecies were mentioned only once. Using Mixed-Effects Models, we identified that people with longer forest experience and men tended to cite more used and traded ethnospecies. Women knew more about human food, while men knew more about construction and animal food. Specialists with greater forest experience knew more about protective management and planting. Specialists living in communities influenced by mining cited fewer used ethnospecies, and those in more deforested communities cited proportionally more planting. Environmental threats had smaller effects on TEK than personal characteristics. The components of TEK that we assessed highlight the forest’s great utility and the importance of management of PAs to maintain biodiversity and traditional people’s livelihoods. The communities’ stocks of TEK persisted in the face of environmental threats to PAs, highlighting the resistance of traditional peoples in the face of adversities. This quantitative approach did not show the trends that are generally imagined, i.e., loss of forest TEK, but demonstrates that if we want to change the Amazonian development model to keep the forest standing, knowledge exists and resists.

Why local concepts matter: Using cultural expressions of distress to explore the construct validity of research instruments to measure mental health problems among Congolese women in Nyarugusu refugee camp.

There is considerable variation in the presentation of mental health problems across cultural contexts. Most screening and assessment tools do not capture local idioms and culturally specific presentations of distress, thus introducing measurement error and overlooking meaningful variation in mental health. Before applying screening and assessment tools in a particular context, a qualitative exploration of locally salient idioms and expression of distress can help assess whether existing measures are appropriate in a specific context as well as what adaptations may improve their construct validity. We aimed to employ a mixed-methods approach to describe and measure cultural concepts of distress among female Congolese survivors of intimate partner violence in Nyarugusu refugee camp, Tanzania. This sequential study used data from 55 qualitative (free-listing and in-depth) interviews followed by 311 quantitative interviews that included assessments of symptoms of common mental disorder to explore whether the symptom constellations were consistent across these methodologies. Results from thematic analysis of qualitative data and exploratory factor analysis of quantitative data converged on three concepts of distress: huzuni (deep sadness), msongo wa mawazo (stress, too many thoughts), and hofu (fear). The psychometric properties of these constructs were comparable to those of the three original common mental disorders measured by the quantitative symptom assessment tools-anxiety, depression, and post-traumatic stress disorder-adding weight to the appropriateness of using these tools in this specific setting. This mixed-methods approach presents an innovative additional method for assessing the local "cultural fit" of globally used tools for measuring mental health in cross-cultural research.

Mental health problems and needs of frontline healthcare workers during the COVID-19 pandemic in Spain: A qualitative analysis.

BackgroundHealthcare workers (HCWs) from COVID-19 hotspots worldwide have reported poor mental health outcomes since the pandemic's beginning. The virulence of the initial COVID-19 surge in Spain and the urgency for rapid evidence constrained early studies in their capacity to inform mental health programs accurately. Here, we used a qualitative research design to describe relevant mental health problems among frontline HCWs and explore their association with determinants and consequences and their implications for the design and implementation of mental health programs.Materials and methodsFollowing the Programme Design, Implementation, Monitoring, and Evaluation (DIME) protocol, we used a two-step qualitative research design to interview frontline HCWs, mental health experts, administrators, and service planners in Spain. We used Free List (FL) interviews to identify problems experienced by frontline HCWs and Key informant (KI) interviews to describe them and explore their determinants and consequences, as well as the strategies considered useful to overcome these problems. We used a thematic analysis approach to analyze the interview outputs and framed our results into a five-level social-ecological model (intrapersonal, interpersonal, organizational, community, and public health).ResultsWe recruited 75 FL and 22 KI interviewees, roughly balanced in age and gender. We detected 56 themes during the FL interviews and explored the following themes in the KI interviews: fear of infection, psychological distress, stress, moral distress, and interpersonal conflicts among coworkers. We found that interviewees reported perceived causes and consequences across problems at all levels (intrapersonal to public health). Although several mental health strategies were implemented (especially at an intrapersonal and interpersonal level), most mental health needs remained unmet, especially at the organizational, community, and public policy levels.ConclusionsIn keeping with available quantitative evidence, our findings show that mental health problems are still relevant for frontline HCWs 1 year after the COVID-19 pandemic and that many reported causes of these problems are modifiable. Based on this, we offer specific recommendations to design and implement mental health strategies and recommend using transdiagnostic, low-intensity, scalable psychological interventions contextually adapted and tailored for HCWs.

Impact of hospitalists’ social identities on perceptions of teamwork

ABSTRACT Interprofessional teamwork provides unique opportunities for improving patient care. This study used Social Identity Theory as a conceptual framework to characterize the relationships between the social identities of pediatric hospitalists and their perceptions of interprofessional teamwork. We used qualitative methods including free-listing and semi-structured interviews to examine these relationships. We identified five key themes: (a) Pediatric hospitalists’ identities fall along a spectrum ranging from profession-centered to team-centered; (b) Familiarity is conducive to formation of team identity; (c) Co-creation of a shared vision and practice of creating shared mental models strengthens sense of team; (d) Institutional culture acts as both a facilitator for and barrier to formation of team identity; (e) High-functioning teams often epitomize the concept of “flexible leadership.” We conclude that Social Identity Theory can be a useful theoretical lens for examining interprofessional teamwork in healthcare settings, including among pediatric hospitalists.

Traditional knowledge of wild edible plants used by the people of Lawat, District Neelum, Azad Jammu & Kashmir, Pakistan

Background: Wild Food Plants (WFPs) are a natural source of food in many rural communities and potential source of local food security. However, over-harvesting and excessive utilization endanger their survival. This study was conducted to document the diversity of wild edible plants along with their customary food uses from Lawat area Neelum Valley, Azad Jammu & Kashmir. Methods: Data on food uses was collected during 5 years observation (2015-2020) by conducting various surveys using semi-structured and freelisting interviews with 70 local participants and self-observations as well. Novelty was checked by comparing the gathered data with the published literature using Jaccard Index (JI). Use-value (UV) was used to check the relative importance of useful plants. Results: A total of 61 wild food plants belonging to thirty families were collected and identified. The edible parts of all reported species were consumed as fruits, cooked as vegetable and used in herbal tea or eaten raw. Thirty-two species were used as vegetables, followed by 13 species as fruits, 10 species in herbal tea, and 6 as condiments. Herbs were recorded with a major contribution of 72%; trees and shrubs contributed 11% each while 4.91% fern. A number of young parts (aerial part and leaves) of most species are used as vegetable. All reported parts of plants were frequently utilized by residents as food and maximum plants are available in the months of June-August. Most of the recorded WFPs belonged to Rosaceae (9 species), followed by Polygonaceae (8 species), Lamiaceae (5 species), Brassicaceae, and Amaryllidaceae (4 species each). Conclusion: WFPs still play an imperative role in the local food culture and are primary source of food for food insecure families in study area and traditional knowledge attached to them is astonishing in the region. In this study, many wild food plants along with their customary food uses were recorded for the first time in Lawat area with almost 72% of the species followed by 31% at district level and 23% species from Azad Kashmir. Keywords: Wild food plants, Ethnobotany, Indigenous knowledge, Neelum Valley, Azad Kashmir

Student, Staff, and Faculty Perspectives on Intimate Partner and Sexual Violence on 3 Public University Campuses: Protocol for the UC Speaks Up Study and Preliminary Results.

BackgroundIntimate partner and sexual violence are pervasive public health issues on college and university campuses in the United States. Research is recommended for creating and maintaining effective, relevant, and acceptable prevention programs and response services for student survivors.ObjectiveThe University of California (UC) Speaks Up study aims to examine factors contributing to intimate partner and sexual violence on 3 UC campuses and use the findings to develop and test interventions and policies to prevent violence, promote health, and lay the groundwork for subsequent large-scale quantitative research.MethodsA mixed methods study was conducted at UC Los Angeles, UC San Diego, and UC Santa Barbara. Phase I (2017-2020) involved a resource audit; cultural consensus modeling of students’ perceptions of sexual consent; in-depth interviews (IDIs) and focus group discussions with students to understand perceptions of campus environment related to experiences as well as prevention of and responses to violence; and IDIs with faculty, staff, and community stakeholders to investigate institutional and community arrangements influencing students’ lives and experiences. Phase II (2020-ongoing) involves IDIs with student survivors to assess the use and perceptions of campus and community services. Qualitative content analysis is used to generate substantive codes and subthemes that emerge, using a thematic analysis approach.ResultsIn January 2019, we conducted 149 free-listing interviews and 214 web-based surveys with undergraduate and graduate and professional students for the cultural consensus modeling. Between February 2019 and June 2019, 179 IDIs were conducted with 86 (48%) undergraduate students, 21 (11.7%) graduate and professional students, 34 (19%) staff members, 27 (15.1%) faculty members, and 11 (6.1%) community stakeholders, and 35 focus group discussions (27/35, 77% with undergraduate students and 8/35, 23% with graduate and professional students) were conducted with 201 participants. Since September 2020, 50% (15/30) of the planned student survivor interviews have been conducted. This segment of data collection was disrupted by the COVID-19 pandemic. Recruitment is ongoing.ConclusionsData analysis and phase II data collection are ongoing. The findings will be used to develop and test interventions for preventing violence, promoting health and well-being, and ensuring that survivor services are relevant and acceptable to and meet the needs of all individuals in the campus community, including those who are typically understudied. The findings will also be used to prepare for rigorous, UC–system-wide public health prevention research.International Registered Report Identifier (IRRID)DERR1-10.2196/31189

Traditional knowledge of edible plants used as flavoring for fish-grilling in Southeast Guizhou, China

BackgroundThe local Dong people in Qiandongnan Prefecture, Guizhou Province, China, with rich biocultural diversity, have developed the traditional rice-duckweed-fish-duck agroecosystem (RDFDA) to support biodiversity conservation and to meet food and cultural needs. However, there is still not much research on traditional ecological knowledge (TEK) in this area. In particular, there is a lack of traditional knowledge of edible plants used by the Dong people as flavoring to grill fish (Cyprinus carpio) collected from RDFDA, which is extremely valuable in their traditional culture. The study focused on documenting plant species used in grilling fish and analyzing the status of its TEK.MethodsTwenty-one sampling points of three Dong minority villages in Qiandongnan were selected for the research. The local TEK associated with plant resources for fish-grilling was recorded through free listing and semi-structured interviews. Fidelity level (FL) and ethnoecological importance value (EIV) indicators were designed to determine the socioeconomic influence of TEK. The non-metric multidimensional scaling (NMDS) method was used to evaluate the differentiation of edible plant species distribution in dissimilar accessibility types.ResultsA total of 430 people were interviewed about grilled fish, of whom 75% were men and 85% were farmers. Thirty-four edible plants were documented for fish-grilling in three Dong villages. They belong to 16 plant families, such as Apiaceae, and Asteraceae. The life forms included herbaceous (76%), shrubs (18%) and trees (6%). Leaves are the most commonly used part of for grilling fish, followed by aerial parts, and whole plants. Among these edible plants, Allium hookeri, A. macrostemon and Houttuynia cordata with the highest fidelity level (100%) were cited as edible plants for grilling fish by all informants. The NMDS showed different accessibility types of collection sites, with different importance values. Paddy rice field edge (2.03) has the highest value, followed by forest-farming ecotone (1.74), streamsides (1.71) and woodland (0.48).ConclusionThe purpose of this study was to investigate the traditional knowledge of edible plant materials used by the Dong people for grilling fish. The results demonstrate the strong connection between local people, the bio-environment and agroecosystem services. The survey and comparative analysis revealed that plant species with high FL values may be potential sources of natural flavors.

Ethnobotanical study on plants used to dye traditional costumes by the Baiku Yao nationality of China

BackgroundThe Baiku Yao is a branch of the Yao nationality in China. The unique dying process of traditional clothing employed by these people has distinct national characteristics, a profound impact on the production and life of local people, and important research value. For this reason, it is important to investigate and document the dyeing plants and the traditional knowledge involved in the dyeing of Baku Yao traditional clothing.MethodologyInformation on dyeing plants was obtained using the free-list method and interviews with 61 Baiku Yao informants in Guangxi and Guizhou from January 2020 to August 2021. Based on the free-list method, we evaluated and screened out important plants by calculating the cognitive salience value of each plant.ResultsThe results showed that the people of Baiku Yao have accumulated rich traditional knowledge of dyeing plants and long-term dyeing and other processes. We collected 23 species and recorded the related traditional knowledge, such as the Baiku Yao name, life form, habitat, part(s) used, application type, usage, and area used. The utilization of dyeing plants has a strong relationship with ethnic culture. The Baiku Yao uses unique anti-dyeing material (Ailanthus vilmoriniana) in the cotton dyeing process, they call it “the mother tree”. As well as, the results also showed that 15 plants (65.2%) have medicinal value and can be used to treat 18 aliments, and wild plants play a very important role in the life of the Baiku Yao.ConclusionThese plants not only meet the color needs of the Baiku Yao people but also have health care effects, aligning with the trends toward green dyeing and the health contentiousness of modern people. This study provides a reference for the inheritance and development of Baiku Yao traditional clothing dyeing culture, will aid the identification of new natural, safe and healthy textile dyes, and is of positive significance in promoting regional economic development, national cultural inheritance, and biodiversity protection.

Cultural adaptation of a scalable psychological intervention for Burundian refugee adolescents in Tanzania: a qualitative study

BackgroundThere is an urgent need for evidence-based, scalable, psychological interventions to improve the mental health of adolescents affected by adversity in low-resource settings. Early Adolescents Skills for Emotions (EASE) was developed by the WHO as a brief, transdiagnostic, group intervention for early adolescents exhibiting internalising problems, delivered by trained and supervised lay providers. This study describes the cultural adaptation of EASE for Burundian adolescents living in Mtendeli refugee camps in Tanzania.MethodsA phased approach to adaptation of the EASE intervention and its implementation, was adopted and comprised of: (1) a desk review to synthesize existing research on mental health issues in conflict-affected Burundian communities, (2) a rapid qualitative assessment involving free listing and key informant interviews with multiple stakeholders, (3) cognitive interviews with end users, and (4) a two-part adaptation workshop involving the implementing partner staff, members of the refugee community and mental health experts. We applied the Bernal framework to systematically document and track adaptations across eight dimensions of the intervention.ResultsProblems associated with worry, stress, sadness, shame and fear were identified as amongst the most critical mental health concerns, alongside a range of experiences of different forms of violence (such as gender-based violence, violence when fleeing from their homes) and associated problems. Problems associated with violence that included past experiences of fleeing as well as ongoing problems of gender-based violence in the camp. The most significant adaptations that were required included providing options for low literacy of participants, safety planning to address the high prevalence of sexual violence, simplification of strategies for the benefit of the end users and of lay facilitators, and implementation changes to consider involvement of refugee incentive workers. A majority of changes were across dimensions of language, people, metaphors, content, methods and context, while there were fewer changes regarding the goals and concepts of EASE.ConclusionsThe approach to adaptation of a psychological intervention suggested both minor and major required changes. Adaptations based on the findings of this study are anticipated to enhance relevance and acceptability of the EASE intervention and its delivery for camp-residing Burundian refugees in Tanzania.

Local plant knowledge and its variation among farmer\u2019s families in the Napf region, Switzerland

BackgroundLocal plant knowledge typically is unevenly distributed within a community. This knowledge variation is important in understanding people’s relationship with their environment. Here we ask about knowledge variation among farmers’ families in the Napf region of Switzerland.MethodsIn 2008 and 2009, 60 adults and children living on 14 farms were interviewed about known and used plant species, and the data analyzed for knowledge variation. The farms were chosen by random stratified sampling, and freelisting and semi-structured interviews were conducted individually in the local idiom. The data were organized in an access database and analyzed with descriptive statistics, correlations, Mann–Whitney U tests and cultural domain analysis.ResultsTotally, 456 folk taxa were listed, whereas frequently listed species are common meadow and forest species. Uses were indicated for 391 taxa, most of them culinary, followed by fodder, wood, medicinal and ornamental uses. Local plant knowledge correlates with age and gender. Due to professional specialization, adults above 20 years have broader plant knowledge than children and adolescents. This is true for almost all examined habitat and plant use categories except for toy uses. Women and men share a common body of plant knowledge especially about herbaceous grassland species and woody species. Specialized knowledge of men is linked to cattle fodder and the processing of wood, specialized knowledge of women concerns edible, medicinal and ornamental plants, often garden species, but also herbaceous forest species.ConclusionIn a rural region like the Napf, people retain a solid basis of plant knowledge. The variation of plant knowledge within farmers’ families of this region reflects sociocultural patterns. As these patterns are changing and as (agro)biodiversity is declining, local plant knowledge in the Napf region is suspected to undergo a mainstreaming process.

Adapting services for autism: Recommendations from a specialist multidisciplinary perspective using freelisting

The guidance available for tailoring mental health services for autistic people is limited and dispersed. Practitioners attempting to appropriately adapt mental healthcare and therapy provision report low confidence and inconsistency in their approach. This study contributes to the guidance by providing a shortlist of usable and priority adaptations for diagnostic and therapy services as described by multidisciplinary staff members responsible for the design and delivery of a specialist autism service in the UK. Individual freelisting interviews were conducted with 15 staff, who were asked to list the ways that they adapt their practice individually, within therapy, and collectively as a service. Salience and cultural consensus analyses demonstrated the following agreed priority service adaptations: ensuring the suitability of the service environment with consideration of sensory demands, adapting communication, knowing individual gender identity preferences and minimising client uncertainty. Detailed examples are given for flexibly adapting therapy to individual needs to inform general and specialist services. The findings require replication and evaluation.

The importance of choosing appropriate methods for assessing wild food plant knowledge and use: A case study among the Baka in Cameroon.

In tropical rainforests, access to and availability of natural resources are vital for the dietary diversity and food security of forest-dwelling societies. In the Congo Basin, these are challenged by the increasing exploitation of forests for bushmeat, commercial hardwood, mining, and large-scale agriculture. In this context, a balanced approach is needed between the pressures from forest exploitation, non-timber forest product trade and the livelihood and dietary behavior of rural communities. While there is a general positive association between tree cover and dietary diversity, the complex biocultural interactions between tropical forest food resources and the communities they sustain are still understudied. This research focuses on the knowledge and use of wild food plants by the forest-dwelling Baka people in southeast Cameroon. By using two different sets of methods, namely ex-situ interviews and in-situ surveys, we collected ethnographic and ethnobotanical data in two Baka settlements and explored the diversity of wild edible plants known, the frequency of their consumption, and potential conflicts between local diet and commercial trade in forest resources. Within a single Baka population, we showed that the in-situ walk-in-the-woods method resulted in more detailed information on wild food plant knowledge and use frequency than the ex-situ methods of freelisting and dietary recalls. Our in-situ method yielded 91 wild edible species, much more than the ex-situ freelisting interviews (38 spp.) and dietary recalls (12 spp.). Our results suggest that studies that are based only on ex-situ interviews may underestimate the importance of wild food plants for local communities. We discuss the limitations and strengths of these different methods for investigating the diversity of wild food plant knowledge and uses. Our analysis shows that future studies on wild food plants would profit from a mixed approach that combines in-situ and ex-situ methods.